| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
835 |
820 |
$39K |
| V2020 |
Frames, purchases |
1,007 |
955 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
363 |
360 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
580 |
562 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
990 |
939 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
28 |
$3K |
| 92002 |
|
26 |
26 |
$2K |